NATIONAL RAPID DISCHARGE GUIDANCE FOR PATIENTS WHO WISH TO DIE AT HOME

Transcription

1 NATIONAL RAPID DISCHARGE GUIDANCE FOR PATIENTS WHO WISH TO DIE AT HOME National Clinical Programme for Palliative Care Clinical Strategy and Programmes Directorate Health Service Executive Date of Publication: October 2013 Revision Date: October 2015

2 Contents 1. Introduction Rationale Purpose Scope Definitions Roles and responsibilities of team members in Rapid Discharge Planning Rapid Discharge Planning Guidance In the event of the GP, PHN or a family member considering that rapid discharge poses a risk to the safety or well-being of the patient or their carers Certification of death Role of Organ/Tissue Donation Post Mortem In the Event of a Patient Dying While Being Transported Home By Ambulance Implementation Audit and Evaluation APPENDICES...18 Appendix 1. SAMPLE RAPID DISCHARGE RECORD...18 Appendix 2. Carer education and support- useful prompts...20 APPENDIX 3. Troubleshooting - frequently asked questions...22 Appendix 4. Sample letter for ambulance transfer...24 Appendix 5: Rapid discharge algorithm This document must be read and used in conjunction with: REFERENCES...27 National Clinical Programme for Palliative Care, CSPD. Page 2 of 27

3 1. Introduction Enabling people to die where they choose is an important aim of palliative care (Field, 1997). The issue of preferred place of death is a complex one. Numerous studies have suggested that patients most commonly express a wish to die at home, (Higginson, 2000) but a number of factors, in addition to preference also influence place of death (Gomes, 2006). Preferences around place of care can be challenging to elicit and record (Munday, 2009) and patients may demonstrate an inclination towards one choice or another rather than expressing a preference in categorical terms (Thomas, 2004). Nevertheless, when a seriously ill patient does express a wish to die at home their request should not be simply viewed as impractical or impossible. Rather, a realistic evaluation of the feasibility of different options should be undertaken. In many instances this may lead to a consensus decision being made by the patient, family and multiprofessional team, that end-of-life care at home is now the priority. This document aims to support healthcare professionals by describing the model of discharge planning that should be adopted in such circumstances. Rapid Discharge Planning (RDP) is a form of integrated discharge planning that begins when a seriously ill patient expresses the wish to die in their home environment. Rapid Discharges are complex processes that require the input of multiple healthcare professionals and it is usually appropriate to involve or seek advice from local specialist palliative care services as part of the process. Effective communication with patient and carer and clear documentation is pivotal for the coordination of a Rapid Discharge. The Rapid Discharge Pathway ensures that the process is undertaken within an appropriate governance and risk framework. 2. Rationale This document acts as a supplement to the Health Service Executive (HSE) draft National Integrated Care Guidance (HSE, 2012). Rapid Discharge Planning is driven by the wishes of the patient and the carer and should be used in circumstances when a clinical situation has changed and there is an urgent request to enable a patient to die at home. 3. Purpose 3.1 The aim of the Rapid Discharge Guidance is to facilitate a safe, smooth and seamless transition of care from hospital to community for patients with terminal illness who choose to be cared for in their own home for their last days of life. 3.2 Its purpose is to promote collaborative working across primary and secondary care and through effective communication, involve the correct professionals to coordinate the continuing care and support necessary for the patient and their family/carers. The guidance is intended to support and formalise existing discharge planning practice while providing a template for local guidelines. Local policies and guidelines relating to rapid discharge planning should reflect the core elements of this guideline. National Clinical Programme for Palliative Care, CSPD. Page 3 of 27

4 4. Scope The scope of this guidance applies to: 4.1 All health and social care professionals working in the HSE and in any organisation providing services on behalf of the HSE. 4.2 People affected by the guidance are patients, the public, employees of the HSE or people providing services on behalf of the HSE. 5. Definitions 5.1 Discharge is the outcome of the decision made by the patient s consultant/medical team when the patient is deemed fit to leave the hospital/healthcare organisation. It also refers to the event of the patient leaving the hospital/healthcare organisation. 5.2 Discharge Plan refers to the documentation in the patient s healthcare record that demonstrates the key tasks from patient assessment to discharge. 5.3 A Do not attempt resuscitation (DNAR) order is a written order stating that resuscitation should not be attempted if an individual suffers a cardiac or respiratory arrest. A DNAR order may be instituted on the basis of the individual s clearly expressed wishes. Also a DNAR order may be made following a clinical evaluation of the likely benefit of attempted CPR for an individual (i.e. the likelihood of restarting the heart and maintaining breathing). - [Adapted from: Dublin Hospitals Group Risk Management Forum (2010) Matters for consideration regarding Do Not Attempt to Resuscitate Orders for Adult Patients] 5.4 End of life care/ terminal care is a continuum of palliative care and is usually used to describe the care that is offered during the period when death is imminent, and life expectancy is limited to a short number of days, hours or less. 5.5 A family is defined as those who are closest to the patient in knowledge, care and affection. The family may include the biological family, the family of acquisition (related by marriage/contract), and the family of choice and friends (including pets). 5.6 Home is the place where a person lives permanently; many people live in residential care on a permanent basis and consider the residential care setting to be their home. 5.7 Integrated Discharge Planning is a process that encompasses the key elements of discharge: written discharge information, provision of a discharge plan and an estimated length of stay (ELOS). Integrated discharge planning includes the patient and as appropriate, the family/carer in the development and implementation of the patient s discharge plan and ensures that steps are taken to address necessary linkages with other healthcare providers in order to achieve a seamless transition from one stage of care to the next, in accordance with patient need (Guideline for Nurse/Midwife Facilitated Discharge Planning: HSE, 2009). National Clinical Programme for Palliative Care, CSPD. Page 4 of 27

5 5.8 Life-limiting condition: Life-limiting condition means a condition, illness or disease which: a) is progressive and fatal; and b) the progress of which cannot be reversed by treatment. 5.9 Multidisciplinary team: A multidisciplinary team involves a range of health and social care professionals, from one or more organisations, working together to plan and deliver comprehensive patient care Nurse Facilitated Discharge Planning refers to the nurse s role in the discharge Palliative care: Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual Rapid discharge planning (RDP) is a form of integrated discharge planning guidance that begins when a seriously ill patient expresses the wish to die in their home environment Rapid discharge pathway: The Rapid Discharge integrated care plan is a model of care to support healthcare professionals to coordinate the rapid discharge of a patient from hospital to home within a governance and risk framework Residential care settings are public, private and voluntary services providing long-term care for people with high support needs. 6. Roles and responsibilities of team members in Rapid Discharge Planning Each member of the multidisciplinary team has responsibility for assisting with the development and implementation of the Rapid Discharge Plan. Effective multi-agency and multidisciplinary working is essential to effectively manage the patient s discharge from hospital for end-of-life care and all components of the healthcare system (family, carers, hospitals, primary care providers, community services and social care services) should work together to serve the best interests of the patient and to support the family. Hospital-based team members: 6.1 The Consultant has the primary responsibility for patient care and discharge in the hospital, although this may be delegated to appropriately trained staff. The Consultant or designated member of his/her medical team should document in the patient s healthcare record when they are satisfied that patient discharge can occur. 6.2 The Clinical Nurse Manager (CNM) - The CNM or a designate manages the rapid discharge process, assigning the registered nurse to patient care, thus undertaking nurse facilitated discharge planning at ward/department level. 6.3 The Nurse is responsible for maintaining his/her ability to assess and make critical decisions regarding patient discharge planning which is a generic competency and core clinical responsibility of all registered nurses (An Bord Altranais, 2005; HSE, 2007). Key responsibilities of the nurse National Clinical Programme for Palliative Care, CSPD. Page 5 of 27

6 include: acting as advocate for patient and family; contributing to the decision-making process which forms the basis for a rapid discharge plan; assisting in implementation of the plan as required by their line manager; communicating progress at each handover; checking completion of relevant discharge documentation including the rapid discharge checklist (Appendix 1) and engaging in continuing professional development to maintain competence necessary for professional practice. 6.4 The Non Consultant Hospital Doctor assesses patients prior to discharge as required, communicates effectively and compassionately with patients and their families and follows through with actions arising from either the Consultant s rounds or the discharge planning process which is facilitated by the CNM. 6.5 The Social Worker assesses the psychosocial needs of patients and their families. He/she assesses risk, and supports families in identifying both their practical and emotional needs and provides psychological support to assist families in coping with loss and change. In rapid discharge planning, the social worker has a role in facilitating communication between the family and other members of the professional support team both in hospital/ specialist palliative care service and the community. He/she assumes a role as patient/family s advocate in identifying services and providing information, advice and support. 6.6 The Occupational Therapist provides practical advice and support to patients and their carers to enable the patient to be cared for safely at home. If appropriate or possible a pre discharge visit will be carried out to assess the suitability of the environment. The Occupational Therapist will provide the necessary equipment and/or make recommendations about environmental modifications in order to get the patient home as quickly as possible. If it is not feasible to carry out a home visit the Occupational Therapist will liaise with the relevant multidisciplinary team (MDT) colleagues and/or family member to ensure a safe discharge. The Occupational Therapist will follow up as appropriate once the patient is discharged home. 6.7 The Physiotherapist provides information and education to the patient and carers regarding the patient s functional status. The aim is to optimise patient comfort and minimize carer burden. Where appropriate the physiotherapist will provide equipment and liaise with colleagues for review post discharge. 6.8 The Pharmacist reviews the discharge prescription in line with the drug chart, discharge letter and patient medication record card making recommendations as appropriate; contacts the patient s preferred community pharmacist to organise ongoing supply of patients medication and provides the community pharmacist with appropriate transfer of information related to the patients medication management; assists in accessing medication which is not readily available in the community and may at the discretion of the pharmacy department arrange for supplies to take home until supply in the community may be organised; provides individualised verbal and written medication instructions (if appropriate) for the patient and/or family. 6.9 The Director of Nursing/Midwifery is responsible for facilitating all identified requirements to support rapid discharge planning within the nursing and midwifery portfolio The Chief Executive Officer (CEO)/Manager (i.e. hospital CEO/manager or local health office manager) through the senior management team is responsible for ensuring that there are effective local arrangements for rapid discharge planning in their area of responsibility. National Clinical Programme for Palliative Care, CSPD. Page 6 of 27

7 6.11 The Hospital Specialist Palliative Care team assesses the palliative care needs of the patient and his/her family, as required by the Most Responsible Physician. They negotiate, agree and formalise the arrangements to meet the patient's needs; contribute to the decision-making process which forms the basis for the rapid discharge plan and assist in implementation of the plan as required by the referring team. Community-based members: Community-based members may work independently or as members of a primary care team. Primary Care teams are multidisciplinary groups of health and social care professionals who work together to deliver local accessible health and personal social services to a defined population. Where present, they provide the access point to the local health and personal social care services such as general practice (GP and Practice Nurses), public health nursing, physiotherapy, occupational therapy, social work, community pharmacies etc The General Practitioner liaises with the hospital team on the feasibility of rapid discharge to the community. Where this is the case the GP can facilitate the transfer though early patient review and prescribing as appropriate. The GP then plays a role in the care of patient s acute and ongoing medical needs on transfer to the community setting. They provide support to the patient, their family and carers alongside the other community based members. He/she may also inform the relevant GP out of hours service of the patient and likely concerns that may arise. In some individual settings the GP may wish to provide out of hours support directly. Completion of the medical certificate of cause of death may be undertaken by the GP where they have reviewed the patient after transfer to the community Public Health Nursing (which includes Registered General Nurses in the community) act as liaison between Hospital and Community to facilitate ease of Rapid Discharge. They can assist and support families in accessing information, equipment and Community Services which helps facilitate a seamless transition to home. They can assist in assessing patient and family dynamics and identify risk factors that may hinder the discharge process. Public Health Nursing also plans and implements care in partnership with the multi-disciplinary teams to ensure a robust discharge plan The Ambulance Providers will manage the transfer of the patient from bed to ambulance trolley and visa versa at the designated location. They will support the patient and carer through their journey. The practitioners will liaise with the PHN/DoN and/or GP on arrival at the destination, if present The Community Specialist Palliative Care team assesses the palliative care needs of the patient and his/her family, as required by the GP. They negotiate, agree and formalise the arrangements to meet the patient's needs and review the plan of care with the GP, community services, patient, carer and family as required A Night Nursing Service (provided by the Irish Cancer Society and the Irish Hospice Foundation) may be provided to patients who are receiving care from a Specialist Palliative Care team. This service is dependent on staff availability, however. The service is available to all patients regardless of their financial circumstances or geographical location for a total of 80 hours (10 nights) over the course of the patient's illness. The Service can be accessed through referral from the Specialist National Clinical Programme for Palliative Care, CSPD. Page 7 of 27

8 Community Palliative Care Team, Public Health Nurse, GP or hospital based Specialist Palliative Care Team. 7. Rapid Discharge Planning Guidance Integrated discharge planning (IDP) routinely starts prior to admission for a planned admission and on admission for all other patients (HSE ONMSD, 2009). Proactive care planning to meet palliative care needs should be included as part of this process for patients with life-limiting conditions, and should include opportunities for discussions about preferred place of care at the end-of-life. This is because timely care planning reduces the need for the crisis response of rapid discharge planning and is associated with improved quality of patient care. However, on occasion, the IDP process will be supplanted by the RDP process when the patient s condition precipitously changes such that his/her prognosis appears to be in the order of hours to days and the seriously ill patient expresses the wish to die in his/her home environment. 7.1 Medical discharge decision A patient whose condition deteriorates such that their prognosis appears to be in the order of days and who expresses the wish to die in his/her home environment should be reviewed promptly by a Consultant or deputised senior doctor. In many cases, the diagnosis of dying is a complex process and may require the input of the MDT. Uncertainty is an integral part of dying and therefore flexibility and responsiveness must be central to the care planning process. For some conditions, patients or their families need to be aware that there is also a remote possibility of longer term survival despite the expectation that the patient will die. In order for the rapid discharge pathway to be activated, the doctor should confirm that: It is appropriate that the focus of care should be solely on palliation in the patient s home environment, The patient chooses to die at home (where the person possesses capacity) or that the decision is being made in their best interests, reflecting the patient s wishes and values as much as possible (where the person lacks capacity) Family / carer support patient decision (where a family/ carer exist and patient has indicated that information may be shared). It is important to note that the doctor should demonstrate skill, sensitivity and cultural competency when engaging in communication with patients and their families about these issues. The patient s desire regarding direct communication and information should be respected. The patient also has a choice to nominate someone to receive information on his or her behalf, or to exclude family member(s) from discussions and decision-making processes. 7.2 Initial communication between hospital and primary care services It is emphasised that communication is the key to delivering effective care co-ordination. Working with primary care services and sharing information is essential and will ultimately influence whether a patient achieves their preferred place of care. Once the rapid discharge pathway is activated, the patient s GP and PHN (and other relevant member of the primary care or specialist team) should be contacted as soon as possible in order to inform them of the patient s prognosis and wishes and to National Clinical Programme for Palliative Care, CSPD. Page 8 of 27

9 discuss the potential for rapid discharge. In the case where the patient s home is a residential care setting contact should be made as soon as possible with the Director of Nursing so that the necessary arrangements can be made for the patient s transfer. If the GP, PHN or DON is not contacted within 24 hours of pathway activation, the reasons for this should be documented in the patient s healthcare record. There are three possible outcomes to the communication between the Ward Manager (or deputy), GP and PHN/DON: The GP and PHN/DON may confirm that rapid discharge is appropriate, The GP and PHN/DON may state that rapid discharge is appropriate but that its feasibility is contingent on certain supports/ services being provided, The GP and PHN/DON may state that in their considered opinion that rapid discharge poses a clinical risk to the safety or well-being of the patient or their carers. The remainder of this section (7) outlines the processes to be followed in the event of the GP and PHN confirming that rapid discharge is appropriate. If the GP or PHN do not consider rapid discharge to be appropriate, then skip to section Preparing the Rapid Discharge Plan In the event of the GP and PHN/DON confirming that rapid discharge is appropriate, the ward manager (or deputy) should make same-day contact with the PHN/DON in order to finalise the care plan. The contact may include the Palliative Care CNS, Social Worker and Community Intervention Team, where appropriate. If discharge is dependent upon supports being provided, then a clear action plan should be agreed that results in these supports being put in place. A provisional date for discharge should be agreed; it is important to be realistic about the time frame to organise a rapid discharge, particularly if care needs are complex and if there is a short length of time available to organise home care services, provide equipment and medical supplies. If same-day contact is not made with the PHN/DON, then the reasons for this should be documented in the patient s healthcare record. 7.4 Communicating with Patient and Family about the Rapid Discharge Plan In the event of the GP and PHN/DON confirming that rapid discharge is appropriate the Ward Manager (or deputy) should communicate this to the patient and/or family and seek their agreement to the proposed care plan. The remainder of this section (7) outlines the processes to be followed in the event of the family agreeing to the care plan. 7.5 Implementing the Rapid Discharge Plan In the If event there of is the disagreement GP and PHN/DON between confirming patient, family that rapid or healthcare discharge professionals, is appropriate then and skip the to patient and family confirming their wish to proceed with section discharge 8. home, the following should be organised: 7.5 Implementing the Rapid Discharge Plan National Clinical Programme for Palliative Care, CSPD. Page 9 of 27

10 (a) Equipment: Members of the MDT should assess the patient s care needs prior to discharge and make arrangements for the provision of necessary equipment in the home e.g. pressure relieving devices, continence products, dressings etc. In the case of the patient returning to a residential care setting discussion about equipment requirements should take place between the ward manager (or deputy) and the Director of Nursing. (b) Services: The following community-based services have particular roles to play in the provision of end of life care in the community. Members of the MDT should assess the patient s care needs prior to discharge and make arrangements for the provision of appropriate packages of care, if required. Specialist Palliative Care team- Patients should be referred to specialist palliative care services if they have: An advanced, progressive, life-limiting condition and Current or anticipated complexities relating to symptom control, end of life care-planning or other physical, psychosocial or spiritual needs that cannot reasonably be managed by the current care provider(s) Night Nurses- Up to 10 nights of a free Night Nursing Service (provided by the Irish Cancer Society and the Irish Hospice Foundation) may be provided to patients who are receiving care from a Specialist Palliative Care team. This service is dependent on staff availability, however. Community Intervention Team (CIT) Where available, this 7-day service supports the provision of fast-tracked access to Nursing and Home Help services for patients who have been medically assessed and it has been determined require the additional services of the CIT. Home Care Package- The scheme is aimed mainly at those requiring medium to high caring support. Support packages are tailored to the patient s individualised care needs. (c) Discharge medications: The medication required to ensure comfort at the end of life can be quite complex and include controlled drugs, syringe driver prescriptions and anticipatory ( breakthrough ) medication. It is essential that at least a 3 day supply of these medications are prescribed and dispensed prior to the patient s discharge. Where practicable this should be done 24 hours prior to the planned discharge date. For residential care settings the discharge prescription should be faxed both to the Director of Nursing and GP 24 hours prior to discharge. Medications can only be dispensed through a nominated community pharmacy. A prescription should be faxed and an original sent to the community pharmacist 24 hours before discharge. Some medications may need to be specifically ordered by the pharmacy as they would not routinely carry these in stock. Controlled drug prescriptions should be hand written. If a patient has a medical card (GMS) the pharmacist will require also the GP to re prescribe the medication on a GMS prescriptions but a short term supply can be dispensed by the pharmacy at the outset without this. The Ward manager should confirm that the medications are dispensed and in the patients home before discharge. Useful information on Dispensing of Emergency Supplies on a Hospital Prescription Form for a GMS Patient may be found at the following site: National Clinical Programme for Palliative Care, CSPD. Page 10 of 27

11 D4E5F%2D84FBBA14DC3D3C96&property=asset&revision=tip&disposition=attachment&app=icgp&f ilename=efe8737b%2d19b9%2de185%2d8385d36c117dd786%2epdf (d) Carer education and support: Carers should be recognised as key partners in the care team and their role in providing and enabling quality care for people nearing the end of life should be recognised and supported (Appendix 2). While caring for someone who is dying can be a rich and rewarding experience, it can also adversely affect family caregivers who are not sufficiently supported and lack adequate resources in undertaking this complex role. Caring in the final phase of life raises specific issues and carers needs for supports in the following areas should be assessed as part of the discharge planning process: psychological and emotional support, help with personal, nursing and medical care of the patient, out-of-hours and night support and informational support. Verbal information should be supported, wherever practicable, by written information in the appropriate language and format and care should be taken to ensure understanding of all information provided. Useful information brochures may be found at the following sites: (e) Transport: The patient s ability to travel home should be assessed and appropriate transport arrangements made. Most, though not all, patients will require ambulance transfer and all pertinent information regarding the patient s condition should be given to the ambulance service transporting patients (e.g. infection, infusions, issues regarding transferring and in respect to patient handling). A letter detailing actions to be taken in the event of a cardiopulmonary arrest should accompany the patient on discharge. The letter should document the DNAR decision and also should detail whether the ambulance should continue to the discharge destination or return to the hospital (see appendix 4). This is because ambulance personnel require Do Not Attempt Resuscitation (DNAR) documentation in order to proceed to the discharge destination rather than commencing cardiopulmonary resuscitation and/ or diverting to the nearest Emergency Department in the event of the patient dying while being transported home. Best practice guidance on DNAR decisions can be found in the National Consent Advisory Group National Consent Policy at: _Group/ncag4.pdf (f) Timing of discharge: Discharge can take place at any time of day, any day of the week based on an assessment and agreement with patients, carers and primary care services. However, consideration must be given to the risks of discharging patients at an inappropriate time when discharging patients out of hours. The provision of end of life care in the community is a complex and often challenging process that usually requires support from a number of healthcare professionals and agencies. It is important to ensure that these supports are available and accessible when discharging a patient out of hours or over a weekend period. If the healthcare professional responsible for the patient s care is not confident that it is safe to discharge the patient out of hours then he / she should advise the patient and family of this. 7.6 Handover National Clinical Programme for Palliative Care, CSPD. Page 11 of 27

12 At all stages during the inpatient period, the progress of the discharge plan will be communicated at handover. It is the responsibility of each nurse on any specific inpatient day to be fully aware of the progress of the discharge plan of patients in their direct care. 7.7 The Day before Discharge On the day before discharge, the nurse will check that all aspects of the discharge plan have been completed (suggested form of documentation, Appendix 1). Appendix is a guide for nurses and midwives and may be enhanced locally. This document may also be amended for use as a discharge tracking form. 7.8 The Day of Discharge On the day of discharge, the doctor should confirm that the patient is fit to travel and a copy of the discharge letter containing medical and nursing summaries of treatment and the management plan for end of life care should be sent in a timely manner to the GP, PHN/DON and other members of the primary care and specialist team as appropriate. The nurse will also confirm with community services, where appropriate, that the patient has left the hospital and that the required service provision needs to commence. The format of this communication should be agreed locally. This is documented in the discharge plan section on the transfer/discharge communication record. 8. In the event of the GP, PHN or a family member considering that rapid discharge poses a risk to the safety or well-being of the patient or their carers. 8.1 Concerns raised by GP or PHN: A patient is not simply discharged from a hospital; rather, he/she is discharged from a hospital into the care of a GP or primary care team. Therefore, the support of primary care services is prerequisite to any rapid discharge process. If a GP or PHN considers rapid discharge to pose a clinical risk to the safety or well-being of the patient or their carers, then this must be considered carefully. Intensive efforts should be made to address the concerns of the primary care services and, providing this is achieved, discharge may proceed. If it does not prove possible to satisfactorily address the concerns of the primary care services, then a case conference between hospital and primary care services should be convened to consider the matter further and the GP/ PHN supported in the expression of their concerns. The patient and family should be kept informed of the stages of this process. 8.2 Concerns raised by family: Disagreements between family members or between the patient and family members can sometimes occur when making decisions about place of care at the end of life. Ideally, patients are able to determine their own decisions for place of care at the end-of-life and these decisions are respected. However, the situation is frequently complex either because patients lose decisionmaking capacity towards the end-of-life or because a significant part of the responsibility for providing care falls on family members. In such situations, family support is often necessary to ensure that a person is safely cared for at home. A consensus building approach to care planning National Clinical Programme for Palliative Care, CSPD. Page 12 of 27

13 should be adopted. The approach should consider the patient s best interests as paramount but should also recognise the needs of family members. This collaborative process aims to develop agreement on a plan of care that is as consistent with the patient s wishes and values as possible, and which also supports the family in the degree of involvement it wishes to have. It should be remembered that decision-making at the end of life is often stressful and circumstances frequently change. As a result, patients and their families may sometimes change their mind about their participation with the rapid discharge planning process and this should be respected. 9. Certification of death 9.1 The Medical Certificate of Cause of Death can only be completed by a doctor who has looked after the patient during their last illness. This is usually interpreted as a doctor who has seen the patient within the last 4 weeks of life. The doctor who completes the medical certificate of cause of death does not have to see the patient after death if the death has been verified by another professional. 9.2 Prior to discharge the GP at the discharge destination should be contacted. The GP at the discharge destination should be asked to review the patient following transfer to facilitate optimum care of the patient and family and to take over the responsibility of verifying and issuing the certificate of cause of death where possible. The GP should be provided with information on the disease or condition that has caused the patient s deterioration as this will be required in the event of the GP completing the certificate of cause of death. 9.3 In order to facilitate certification of death following rapid discharge home it is essential that prior to discharge a senior doctor is identified from the hospital who is willing to issue the certificate of cause of death, in the event of the GP being unable to complete the certificate. This doctor s name and contact details must be documented on the rapid discharge pathway and the medical transfer letter. 10. Role of Organ/Tissue Donation 10.1 If a patient or family following discussion with the Consultant has requested organ donation; rapid discharge for end-of-life care cannot occur. 11. Post Mortem 11.1 A Coroner will not be involved in cases where a person died from a natural illness or disease for which the deceased was being treated by a doctor within one month prior to death and where the medical doctor is able to provide medical certification of cause of death In the case where a patient dies in a residential care setting all deaths are reportable to the coroner according to HIQA guidance and the agreed procedure implemented. National Clinical Programme for Palliative Care, CSPD. Page 13 of 27

14 11.3 Following some deaths where a Medical Certificate of Cause of Death can be issued, the treating clinician or family may wish to request a post mortem examination to investigate further the cause of death, to improve knowledge of the disease or effectiveness of the treatment given. In situations where a Certificate of Death can be issued, the coroner does not need to be informed but the arrangements for post-mortem and consent need to be obtained and organised prior to discharge. It will also be necessary to organise transportation back to the hospital If it is anticipated that a coroner s post-mortem will be required or there is any concern expressed around the expected cause of death from either medical staff or the patient s family this often means that rapid discharge for end of life care at home cannot occur due to the complexity of issues surrounding the requirement for a coroner s post-mortem. Cases must be considered on an individual basis by the responsible consultant in order to determine whether rapid discharge at home can or should occur. 12. In the Event of a Patient Dying While Being Transported Home By Ambulance 12.1 Sensitive discussion should take place with the family/ carer regarding regarding the possibility of a cardiopulmonary arrest taking place in transit and agreement sought regarding the actions that will be taken in such event (e.g. DNAR orders and whether the ambulance should proceed to the planned discharge destination or return to the hospital). A discharge summary and letter detailing actions to be taken in the event of a cardiopulmonary arrest must accompany patients who are transported home by ambulance. This is because ambulance personnel will need this documentation in order to proceed to the discharge destination rather than commencing cardiopulmonary resuscitation and/ or diverting to the nearest accident and emergency department In the event of a patient dying while being transported home by ambulance, the following should occur: The patient should be transported to the planned destination. The ambulance personnel should inform the family/carer at the destination that death has occurred (if family/ carer have not accompanied the patient). The patient's remains should be placed in the bed prepared for receiving the patient. The GP should be contacted to verify death. The PHN should be notified that death has occurred. The coroner should be notified of the circumstances of the patient s death prior to completion of the Medical Certificate of Cause of Death or commencement of funeral arrangements. 13. Implementation 13.1 This guideline for rapid discharge planning will be disseminated through the Palliative Care Programme to all HSE services and any facility providing services on behalf of the HSE. It is available to download from the HSE webpage: National Clinical Programme for Palliative Care, CSPD. Page 14 of 27

15 14. Audit and Evaluation 14.1 Audit of discharge practices should occur as part of the implementation of the national HSE Code of Practice for Integrated Discharge Planning (2013) This associated guideline is for review two years from approval or earlier if required. Audit of staff views and experience of the guideline will inform any required changes. National Clinical Programme for Palliative Care, CSPD. Page 15 of 27

16 Rapid Discharge Action Plan- Summary of Key Steps STEP 1: The imminently dying patient chooses to die at home and no issues are identified regarding the potential need for a coroners post mortem or organ donation Section STEP 2: Doctor: o Confirms that it is appropriate to focus on palliation at home. o Family / carer support patient decision (where a family/ carer exist and patient has indicated that information may be shared). o Medical Consultant/designate records in the patients health care record that they are satisfied that discharge can occur. Step 3: CNM: o Identifies the lead nurse to manage the rapid discharge process o Supports the process Step 4: Lead Nurse: Initiation o Contacts GP, PHN/DoN and other members of the primary care or specialist team as soon as possible in order to inform them of the patient s prognosis and wishes and to discuss the potential for rapid discharge. o The GP and PHN /DoN may confirm that rapid discharge is appropriate- plan continues o The GP and PHN /DoN may state that rapid discharge is appropriate but that its feasibility is contingent on certain supports/ services being provided plan continues taking advice into consideration o The GP and PHN /DoN may state that in their considered opinion that rapid discharge poses a clinical risk to the safety or well-being of the patient or their carers- every effort is made to reduce or eliminate the risk where possible. If not possible liaise with patient and family o Communicate the outcome to the patient and family Planning o Liaise with PHN/ DoN and develop care plan o Involve members of the MDT as required -Medical Social Worker, Occupational Therapist, Physiotherapist, Pharmacist, Palliative Care CNS, Community based Palliative Care, Community Intervention Team o Support family. Ascertain their level of understanding of what is expected of them. o Provide carer education as per Appendix 3 o Organise equipment and medical supplies o Organise transport o Write nursing discharge letter Hospital MDT Physiotherapy o Assess patients re needs on discharge o Liaise with primary care Physiotherapist as appropriate Occupational Therapy o Assess patients re needs on discharge o Liaise with primary care Occupational Therapist as appropriate o Arrange for essential equipment to be set up at home to facilitate rapid discharge Medical Social Work o Assess and address patient and family psychosocial and essential practical needs Pharmacy o Liaise with community pharmacy re medications not licensed for use in the community or medications difficult to source in the community e.g. Buccal Midazolam o Liaise with community pharmacy re costly medications not available on the GMS which may require the Hardship Scheme National Clinical Programme for Palliative Care, CSPD. Page 16 of 27

17 Palliative Care CNS o Assess if a Night Nurse is required. If so organise. o Assess if the Community Specialist Palliative Care Team are required o Contact the Community Palliative Care Team if required. o Advise re stat medication prescription NCHD o Write discharge letter o Write prescriptions- regular medications/p.r.n. medications o Contact GP re verifying and issuing the certificate of cause of death Discharge: o Letters to GP, PHN/ DoN and other member of the primary care or specialist teams as appropriate o If patient is on a syringe pump, change immediately prior to discharge o Prescriptions and handover to family unless transferring to residential care facility o Ambulance services letter, including DNAR order as appropriate Ambulance Provide transport to the patients home 12 National Clinical Programme for Palliative Care, CSPD. Page 17 of 27

18 15. APPENDICES National rapid discharge guidance for patients who wish to die at home Appendix 1. SAMPLE RAPID DISCHARGE RECORD This form may serve as a useful checklist and record of actions taken in planning and facilitating the rapid discharge and, when completed, should be filed in the patient s Healthcare Record. A copy of the completed form should also be provided to the GP, PHN/DoN and other members of the primary care or specialist team as appropriate on discharge. SAMPLE RAPID DISCHARGE RECORD Patients name: Address being discharged to: Address: Date of birth: HCR number: Main carer Contact details: Medical card: GP: Address: PHN: Health Centre/Primary Care Team: Contact details: Contact details: *Date of rapid discharge request: Consultant/Senior doctor who reviewed the patient: *Requested by whom: Nurse Lead: Contact number: NCHD: Contact number: Family discussion & outcome (including patient and family understanding of diagnosis/ prognosis): Date GP contacted on- Date PHN/DoN contacted on- GP & PHN/DoN comments/actions required: GP & PHN/DoN agree discharge is appropriate: GP & PHN/DoN agree discharge is feasible but contingent on: GP & PHN/DoN feel discharge poses a clinical risk: Named pertinent personnel involved as appropriate: to assess situation and liaise with community based colleagues Specialist Palliative Care CNS: Community Intervention Team: Medical Social Worker: Occupational Therapist: Physiotherapist: National Clinical Programme for Palliative Care, CSPD. Page 18 of 27

19 Pharmacist: Community Palliative Care Team Night Nurse: Ambulance service: Home Help Coordinator Equipment / Medical supplies required following discussion with appropriate members of the MDT. Responsibility: Outcome: Hospital bed Pressure relieving devices required- describe Oxygen Dressings/ostomy equipment Nebulisers NIPPV Suction Syringe driver Discharge pack -including equipment for Prescription & take home medications Mouth care Urinary catheterisation Needles, syringes, antiseptic swabs, sharps bin Gloves Continence equipment DATE: On Day of Discharge Action By whom Prompts for action Provide Doctor confirms the patient is fit to travel Carer preparation: PHN/DoN Handover: GP Handover: Transport Family Ambulance Discuss concerns Explain medications use Give take home medications Confirm patient has been discharged/is not fit for discharge Confirm patient has been discharged/is not fit for discharge Letter for ambulance crew Discharge letter Prescription Fax discharge letter Fax discharge letter National Clinical Programme for Palliative Care, CSPD. Page 19 of 27

20 Appendix 2. Carer education and support- useful prompts Medication Management Note- it is advisable that written advice is also provided on medication management Patient comfort What to do if the patient becomes distressed? What to expect as the patient approaches death? What to expect/do around time of death? Care information that may assist families to continue care on discharge. Provide information on: Provide information on how to: Deliver simple mouth care Deliver simple eye care Deliver simple pressure area care prevention Move the patient in a safe manner Change sheets while the patient is in the bed Attend to the patients hygiene What the medications are for When the medications should be given How the medications should be administered Manage reduced hydration and dietary needs Any specific plans for symptom management including use of a continuous subcutaneous infusion Provide advice on which healthcare providers should be contacted in the event of the patient becoming symptomatic. Explanation that if the family dial 999 this will usually result in admission of the patient to hospital. Remember to give the contact numbers of the GP and out of hours services (and the Community Palliative Care Team if involved) Explanation that the person is expected to die following discharge but that this may not happen immediately and there may be an interval of hours or days at home. Discuss the usual changes to expect as death approaches The patient weakens, sleeps more He/ she has reduced interest in food or fluid Eventually he/she becomes less responsive and changes in breathing pattern and circulation occur o Breathing becomes more shallow and irregular o Breathing may become more noisy o The person s colour changes and he/ she may become cool to touch Eventually his/her breathing will stop and pulse will disappear. Discussion and explanation that cardiopulmonary resuscitation should not be attempted as this is not appropriate. Important to reassure death is not usually dramatic and to encourage the family to spend time with the patient, if this is what they want Describe how to recognise death has occurred Contact GP Contact funeral director +/- Contact spiritual advisor +/- Take battery out of the continuous subcutaneous infusion but do not National Clinical Programme for Palliative Care, CSPD. Page 20 of 27

21 How to organise the funeral/burial? Support remove the needle of the continuous subcutaneous infusion Turn off the heating in the room Discuss the patient s preferences if possible Involve the appropriate people Choose and contact a funeral director Contact the religious advisor (if indicated) If cremation is chosen, advise that the body must be certified prior to removal and the GP must complete a form. Provide information on who family can contact if they are worried e.g. GP/ PHN/ Specialist Palliative Care Team /Hospital Advise to try to pace themselves and that it is alright to accept offers of help. National Clinical Programme for Palliative Care, CSPD. Page 21 of 27

22 APPENDIX 3. Troubleshooting - frequently asked questions 1. What should I do in the situation where a patient states that they want to be discharged for end of life care but their family/ carers state that they do not wish this to happen? Investigate the family s fears and reasons. It may be possible to provide reassurance or allay fears If unable to support discharge, discuss with patient 2. What should I do in the situation where a patient states that they want to be discharged for end of life care but carers are not available? Investigate what services are available in the community to support discharge If unable to support discharge, discuss with patient 3. What should I do in the situation where a patient states that they want to be discharged for end of life care but a member of the MDT feels it is not appropriate? Investigate reasoning. If unable to support discharge, discuss with patient 4. What should I do in the situation where a patient states that they want to be discharged for end of life care over a weekend period? Find out what supports are available and accessible over the weekend Weigh up the benefits and risks of discharging patients at this time Make a decision on whether to support the discharge or not, that is in the best interests of the patient If unable to support discharge, discuss with patient 5. What should I do in the situation where a patient states that they want to be discharged for end of life care but they live in an upstairs flat and are unable to climb the stairs? Liaise with ambulance service to determine feasibility of transfer 6. How can I best prepare carers? Explore carer expectations around care delivery Explore carer fears. What to do if the patient is symptomatic What to do when the patient dies Involvement/impact on children Ensure patient goes home with enough medications for the short term and a prescription for refill Check that prescribed medications are available in local pharmacy. If on a syringe driver/pump provide a prescription. Provide medications/administration equipment/prescription for night nurse to use. National Clinical Programme for Palliative Care, CSPD. Page 22 of 27